Severity of psychosomatic illness with correlation to visual outcome in patients of idiopathic central serous chorioretinopathy

Aims: To assess the correlation of severity and visual outcome in patients of Idiopathic Central Serous Chorioretinopathy [ICSC] with degree of Psychosomatic illness using Hamilton rating scale for depression and anxiety (HAM-D & HAM-A) scoring chart.Methods: 33cases (40 eyes) (age 22-55) at the Department of Ophthalmology, RIO, Gauhati Medical college and Hospital, Guwahati presenting with ICSC were interviewed and checked in the Department of Psychiatry for the symptoms mentioned in HAM-D and HAM-A scoring system. They were than graded as having mild, moderate, severe and very severe psychosomatically ill and were followed for 6 months (0,3 and 6months respectively) to assess the prognosis in terms of vision.Results: The sample 33 cases (40eyes) included 29 (36 eyes) male patients and 4 females with an average age of 38.22 ± 8.56years. Vision of the affected eye ranged from 0.20-1.10[log MAR] (mean vision was 0.61 [log MAR] and macular volume in affected eye ranged from 6.00mm3 -13.9 mm3(Mean macular volume 9.45mm3. Out of total 33 patients, 17 patients (51.5%) showed some degree of psychosomatic illness.5 patients with moderate and all 2 patients with severe illness had b/l ICSC. At 6 months follow up, the mean vision was found to be 0.29 LOG MAR (Range 0.10-0.60 LOG MAR) and mean average macular volume was 8.41 mm3 (Range 6-11.8 mm3).Conclusion: The study revealed significant role of degree of psychosomatic illness with bilaterality, recurrence rate & final visual outcome in patients with ICSC.